BETRIXABAN 40MG CAP (27913)    VA PRODUCT (50.68)

Name Value
NAME BETRIXABAN 40MG CAP
VA GENERIC NAME BETRIXABAN
DOSAGE FORM CAP,ORAL
FDA MED GUIDE Betrixaban_(Bevyxxa)_(2017).pdf
ACTIVE INGREDIENTS
CS FEDERAL SCHEDULE Unscheduled
STRENGTH 40
SINGLE/MULTI SOURCE PRODUCT Single source
INACTIVATION DATE 2021-01-15 00:00:00
UNITS MG
NATIONAL FORMULARY NAME BETRIXABAN CAP,ORAL
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   3
    COPAY EFFECTIVE DATE:   2017-11-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME BETRIXABAN 40MG CAP
VA PRODUCT IDENTIFIER B0844
TRANSMIT TO CMOP YES
VA DISPENSE UNIT CAP
MASTER ENTRY FOR VUID YES
VUID 4036892
EFFECTIVE DATE/TIME
  • 2017-10-06 00:00:00
    STATUS:   ACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE
  • 2021-01-15 00:00:00
    STATUS:   INACTIVE